Organization
CVS ALBANY, L.L.C.
Active
Other names
CVS PHARMACY # 17692
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1730 HEMPSTEAD TURNPIKE, ELMONT, NY 11003-1856
(516) 326-3579
Mailing address
ONE CVS DRIVE, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
333600000X
Pharmacy
Primary
—
NY
3336C0003X
Community/Retail Pharmacy
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04616060
—
NY
01
—
5817626
NCPDP
NY
Enumeration date
09/12/2016
Last updated
03/02/2017
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